MEDICARE: MICHAEL J CUNNINGHAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	34-074742	OH
2	207RC0000X	Cardiovascular Disease Physician	35-074742	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00428928	OTHER	OH	RAILROAD MEDICARE
8	60070745	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	741769	OTHER	BUCKEYE
4	000000224385	OTHER	UNISON
5	5681753	OTHER	AETNA
6	363455	OTHER	WELLCARE
7	000000539419	OTHER	ANTHEM

General Provider Information

NPI Number	:	1942229893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J CUNNINGHAM MD

Provider Business Mailing Address
First Line	:	18599 LAKE SHORE BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-1093
Country	:	US
Telephone Number	:	216-383-6060
Fax Number	:	216-383-5370

Provider Business Practice Location Address
First Line	:	18599 LAKE SHORE BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44119-1093
Country	:	US
Telephone Number	:	216-844-8500
Fax Number	:	216-383-5370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	12/21/2020

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Directions to “ MICHAEL J CUNNINGHAM MD” Practice Location

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